Table 2.
Study, Country | Study design | Int. N, % Female, % Attrition | Parent age (M) | Child age (M or range) | Sample criteria. Recruitment | Program name | Delivery method | Program goals Length & duration (L&D) | Guidance provided | Socioemotional outcomes | Program content |
---|---|---|---|---|---|---|---|---|---|---|---|
Baggett et al. (2010), USA† | RCT pre/post | 20, 100, 5 | 24.5 | 3-8 mo | Mother; low SES. Flyers posted in public & community service settings | Infant-Net | Website | Enhance parenting capacity L&D: 10 × 90 min sessions | Weekly phone coaching | PPD, Mother-infant interaction | Reading infant signals; warm & sensitive behaviors, maintaining infants’ attention; use of rich verbal content with physical demonstrations; application in everyday life |
Breitenstein (2021), USA† |
RCT pre/post/ follow-up |
144, 80, 11 | 32.8 | 2.2 yr | Parent of child 2–5 yr. Primary care settings | ez PARENT | App |
Manage child behavior L&D: modules completed every 1–2 wks over 12 wks |
Fully self-guided | Parent behavior, Parenting self-efficacy, Stress, Child problems & prosocial behavior | 1–2) child relationship-building skills; 3–5) behavior management skills; 6) stress management & problem-solving skills |
Ciochoń (2022), Poland |
Quasi-exp pre/post |
427, 100, - | 30.26 | – | Mothers; non-smokers, 2nd or 3rd pregnancy trimester, during Covid. Social media, radio, & motherhood magazines | Online |
Reduce perinatal maternal anxiety & depression L&D: - |
NR | Anxiety, Depression | Online content includes but not limited to antenatal education (e.g., labour, breastfeeding, prenatal care) and relaxation | |
Dol et al. (2022), Canada |
RCT pre/post |
78, 100, 30 | 31.4 | 4.4 days |
Mothers; > 18 yrs; 37 wks pregnant – 10 days PP; mobile access; English literate; child birthed in Nova Scotia Social media, posters |
Essential Coach for Every Mother | SMS |
Improve mothers’ access to information about caring for themselves and their newborns during the immediate six-wk postnatal period L&D: 6 wks (2 texts daily) |
Full self-guided | Self-efficacy, social support, PP anxiety, PP depression | 53 standardized evidence-based text messages. Topics related to newborn care and postpartum maternal mental health |
Ehrensaft et al. (2016), USA† |
RCT pre/post |
26, 100, 31 | 23.76 | 2–6 yr | Mother; college student, reside with child ≥ 50% of time; child birthed ≤ 25 yrs old, child 2-6 yrs. Attend inner-city college; child attend college childcare | Triple P Online | Website |
Improving parenting practices L&D: 20 min- > 2 h modules over 8-12 wks |
Fully self-guided | Stress, Dysfunctional discipline | 1) what is positive parenting; 2) encouraging behavior you like; 3) teaching new skills; 4) managing misbehavior; 5) dealing with disobedience; 6) preventing problems by planning; 7) making shopping fun; 8) raising confident, capable kids |
Huang et al. (2021), China |
RCT pre/post/ follow-up^ |
20, 100, 10 | 27.15 | - | Women; ≥ 18 yr; first-time mothers; English literate; internet access. Maternity & obstetric wards | - | Website |
Increase self-efficacy, provide social support, reduce PPD symptoms L&D: 2 h wkly sessions over 12 wks |
Online support forum; routine PP care | Maternal self-efficacy, Depression, Social support | ISP program contents include infant common diseases, daily infant care, growth & development, feeding, postnatal care for women. Online support forums |
Jareethum et al. (2008), Thailand |
RCT pre/post/ follow-up |
32, 100, 6 | 28.72 | Woman ≥ 18 yr; no medical diseases; single preg; ≤ 28 wks gest. Antenatal care hospital | - | SMS |
Prevent/warn of complications & reduce concerns during preg L&D: 12 wks |
Fully self-guided | Pregnancy satisfaction, Confidence level, Anxiety level | Content included information & warnings relating to abnormal preg effects that would require doctor consultation. 2 × texts per wk | |
Jiao et al. (2019), Singapore |
RCT pre/post/ follow-up |
68, 100, 4 | 31.1 | 0-12mo | First-time mother; ≥ 21 yr; English proficient; low-risk single preg; ≥ 28 wks gest; intent to reside in Singapore 3 mos. post-delivery. Hospital wards | - | Website |
Enhance self-efficacy, social support, psychological well-being, maternal satisfaction L&D: 4 wks |
CAU, expert discussion Forum; calls to promote site use | Parental self-efficacy, Infant care social support, Postnatal depression, Anxiety | Postnatal experiences; maternal self-care (including physical, emotional, &sexual health); newborn care, & social support |
Lennard et al. (2021), AU & NZ |
RCT pre/post |
231, 100, 59 | 32.77 | 0-2 yr | Mother; ≥ 18 yr; birthed within last 2 yr; reside AU/NZ. Websites, social media, parenting forums | - | Website | Improve infant mothers’ self‐compassion & mental health. L&D: 8 wks | Fully self-guided with weekly SMS reminders | Compassion, Psychological flexibility, Depression, Anxiety, Stress, PTSD symptoms | 1) psychoeducation & ideas to promote self‐compassion in motherhood transition; 2) guided self‐compassion visualization exercise. ‐ |
Lindsay and Totsika (2017), UK |
Quasi-exp pre/post |
675, 92, 44 | 0-6 yr |
Parents; reside within three local authorities Child centers, community organizations, pharmacies |
CAN parent |
Website, in-person mixed |
Reduce parent stress; increase parent efficacy, satisfaction, mental health L&D: 1-10 wks |
Fully self-guided | Parenting efficacy, Parenting interest, Parenting satisfaction, Parenting stress, Parent mental well-being | Includes managing routines & boundaries, supporting each other’s parenting, positive behavior, play & exploration, secure relationships, who’s in charge. 1–10 sessions | |
Matvienko-Sikar and Dockray (2017), Ireland |
RCT pre/post/ follow-up^ |
32, 100, 26 | 33.87 | 10-22 wk. gest | Female; ≥ 18 yr; pregnant; no medical concerns. Online, forums, posters | – | Website | Improving prenatal well-being through gratitude & mindfulness. L&D: 4 × wkly use over 3 wks | Fully self-guided | Prenatal stress, Depression, Satisfaction with life, Gratitude, Mindfulness | 1) BodyScan & Reflection, 2) Reflection & BodyScan. Program components: 1) gratitude diary; 2) mindfulness listening. In gratitude diary, participants listed up to 5 things they felt grateful for in prior 24 h |
Mogil et al. (2022), USA |
RCT pre/post/follow-up |
171, 56, 13 | – | 53.8 mo |
Families; child 3–6 yrs ≥ one Army-serving parent Social media advertising, military/ veteran events, WoM |
- | Online |
Promote resilience & psychological well-being L&D: - |
Fully self-guided | Parent psychological well‑being, Parent–child relationship, Child affect & behaviour | 1) Positive Parenting.2) Supporting Child Development. 3) Maintaining Self-Care.4) Navigating Family Transition |
Na and Chia (2008), Singapore |
RCT Pre/post |
411, 68, 65 | 0-6 yr |
Parents; child 0-6 yr; basic internet knowledge; English proficient; device access Newspapers, magazines |
KidzGrow Online | Website |
Positive parenting skills to support child learning L&D: 12 wks |
Fully self-guided | Amount & quality of parent–child time, Parenting knowledge, Parents’ attitude, confidence, Support | Online content includes, but is not limited to, cognition, speech & language, social skills development | |
Park and Bang (2022), South Korea |
Quasi-exp pre/post |
15, 0, 7 | 35.5 | 2-6 mo |
Fathers; children 8–24 wks The Seoul Baby Health First Step Project |
– | Online lectures | Improving father-infant interactions, child-rearing knowledge, & attachment relationships. L&D: 5 wks | Home-visits educated by researcher | Father-infant attachment, Father-infant interaction |
Developing the caregiver’s sensitivity, building infant developmental knowledge, and recognizing the teaching loop during father-infant interactions |
Salonen et al. (2014), Finland |
Quasi-exp pre/post/ follow-up |
433, 100, 42 | 30.9 | Prenatal-12 mo | Primi/multiparous; Finnish-speaking; single birth; no early discharge; mothers receiving home visits. Maternity hospital | – | Website |
Designed to strengthen parenting satisfaction & parental self-efficacy L&D: - |
Online peer forum; expert Q&A support | Parenting satisfaction & Infant centrality, Depressive symptoms | Tasks related to parent–child interaction in everyday situations over 6 themes: 1) for mothers; 2) for fathers; 3) your baby; 4) life as a couple & family; 5) what to do when you’re in trouble & 6) support for the family |
Sari and Altay (2020), Turkey† |
RCT pre/post/ follow-up |
35, 100, 16 | 30.82 | 33-37wk. gest | Mother ≥ 18; 33–37 wks gest, primary school completion, Turkish speaker; birth weight 2.5-4 kg. Primary care clinics | – | Website |
Teach infant growth, development & self-efficacy L&D: 3-5 wks |
Expert consults within website | Parental self-efficacy | 1) my baby's nutrition; 2) my baby's bath & care, 3) my baby's sleep & safety; 4) communication with baby |
Sawyer et al. (2017), AU |
RCT pre/post/ follow-up |
381, 100, 8 | 32.7 | 1-7 mo | New mother; English proficient; expert supported participation. Community clinic health check | Mums’ eTalk | Website | To provide postnatal support to mothers without the need for postnatal home-based help. L&D: 24 wks | Clinic CAU & peer online forum nurse moderated | Self-competence, Social support, Child socioemotional development, Attachment, Well-being, Spousal support | 11 online topics including sleeping & settling, nappies, breastfeeding, infant development, Baby’s milestones, key dates |
Shorey et al. (2017), Singapore |
RCT pre/post |
126, 50, 17 | 32.08 | 35-41 wk. gest |
Parents; ≥ 21 yr, English literate, device access Maternity hospital discharge |
Home-but not Alone | App | Support parent transition; increase self-efficacy, social support, satisfaction; reduce depression. L&D: 4 wks | Peer discussion; midwife consults; CAU | Parenting self-efficacy, Parenting social support, Postnatal depression, Parenting satisfaction | Online content included newborn & maternal care; postnatal depression, newborn care tasks, needs of multiparas, parents & how can fathers provide support. Notifications provided information regarding common questions |
Shorey et al. (2019), Singapore |
RCT pre/post/ follow-up |
118, 50, 25 | 31.3 | Prenatal-3 mo | Heterosexual married couples; ≥ 21 yr; English literate; low-risk single preg, ≥ 2 wks gest; phone with internet; reside in Singapore. No illness. Hospital | - | Phone-based sessions, app |
Enhance parent self-efficacy, bonding, perceived social support, parent satisfaction; reduce depression & anxiety L&D: 4 wks |
Midwife phone sessions; midwife forum | Parenting self-efficacy, Parental bonding, Postnatal depression, Postnatal anxiety, Parenting satisfaction, social support | 1) phone antenatal education session (30 min); 2) Phone postnatal education session (60 min); 3) app topics: newborn & maternal self-care. Daily app notifications |
Song et al. (2022), South Korea |
Quasi-exp Pre/post/follow-up |
20, 100, - | 28.40 | 3–4 days | Chinese immigrant; > 19 yrs; first-time mothers; Korean literate. Obstetrics/ gynaecology clinics | Mobile-based via Prezi | Enhance maternal adjustment. L&D: 4 wks | Weekly support via social media | Parenting efficacy, Childcare stress, social support | Breastfeeding strategies. Newborn care | |
Zhang et al. (2023), China |
RCT Pre/post/follow-up |
80, 100, 16 | 30.36 | 38.27 wks gest | 12–20 wks pregnant; ≥ 18 yrs; psychological distress; Chinese literate; no prior psychological int. WeChat access. Hospitals | GSH-MBI | SMS, WeChat app | Reduce psychological distress & improve infant neuropsychological performance. L&D: 6 wks | Daily text reminders | Maternal depression, Maternal anxiety, Infant temperament | 6 modules including content on mindful breathing and body scan, mindfulness practices in everyday life |
Zuckerman et al. (2022), USA |
Quasi-exp Pre/post |
29, 100, 3 | – | Low-income mothers; = < 1 prior children; full-term healthy birth, > 18 yrs; no substance abuse; English literate; iPhone owner. Nursery | Small Moments, Big Impact | App | Promote relational health, resilience, well-being. L&D: 6 mo | Support with content from researchers; Weekly text reminders | Parenting stress. Reflective functioning | Topics cover infant care, and mother’s self-care |
In some cases, external references were used to identify specific program content. Attrition was based on comparison between pre-treatment and final follow-up periods only. †=based on prior program; ^ = pilot study; * = unpublished reference;
AU Australia; CAU care as usual; CBT cognitive behavioral therapy; CMT compassionate mind training; con control; f/u follow-up; f2f face-to-face; FAB fathers and babies; gest gestation; grp group; hr hour; int intervention; M mean; mo month; NICU neonatal intensive care unit; NZ New Zealand; PCIT parent–child interaction therapy; PP postpartum; PPD postpartum depression; pre-exp pre-experimental design; preg pregnancy; pub published journal article; quan quantitative study design; quasi-exp quasi-experimental design; QnA question & answer; RCT randomized control trial; SG self-guided; SMS short message service; SES socioeconomic status; USA United States of America; VLBW very low birth weight; wk week; WoM word of mother; yr year